Schwickert Alexander, Seeger Karl-Heinz, Rancourt Rebecca C, Henrich Wolfgang
Department of Obstetrics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Campus Virchow-Klinikum, Berlin, Germany.
Department of Pediatric Oncology and Hematology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Campus Virchow-Klinikum, Berlin, Germany.
J Clin Ultrasound. 2019 Jul;47(6):366-368. doi: 10.1002/jcu.22689. Epub 2019 Jan 23.
We report a case of a prenatally detected hemangioma of the umbilical cord as an early sign of diffuse neonatal hemangiomatosis (DNH). The newborn was diagnosed with multiple hemangiomas in the liver, intestines, skin, and brain. Prenatal ultrasound findings, neonatal appearance of the hemangiomas, and the associated complications are illustrated. Interdisciplinary investigations as well as operative and systemic treatment approaches proved to be challenging. This case illustrates how prenatal ultrasound with color Doppler facilitates the early diagnosis of DNH and can help through the early referral to specialized centers for appropriate treatment.
我们报告一例产前检测到的脐带血管瘤，它是弥漫性新生儿血管瘤病（DNH）的早期迹象。该新生儿被诊断出肝脏、肠道、皮肤和脑部有多个血管瘤。文中展示了产前超声检查结果、血管瘤的新生儿表现以及相关并发症。跨学科研究以及手术和全身治疗方法都颇具挑战性。该病例说明了彩色多普勒产前超声如何有助于DNH的早期诊断，并通过早期转诊至专科中心进行适当治疗提供帮助。
